﻿<!DOCTYPE html>
<html>
<head lang="en">
    <meta charset="UTF-8">
    <meta name="viewport"
          content="width=device-width, user-scalable=no, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0">
    <title></title>
    <link rel="stylesheet" href="../css/common.css"/>
    <link rel="stylesheet" href="../css/add_people.css"/>
    <link rel="stylesheet" href="../css/lCalendar.css"/>
    <script src="http://cdn.static.runoob.com/libs/jquery/1.10.2/jquery.min.js"></script>
    <script src="js/jquery.cookie.js"></script>
    <script src="js/config.js"></script>
    <script src="js/startmove.js"></script>
    <script src="js/lCalendar.js"></script>
    <script src="js/addPerson.js"></script>
</head>
<body>
<div id="header">
    <p>添加就诊人</p>
    <span class="back"><a href="javascript:window.history.go(-1);">返回</a></span>
</div>
<div id="main">
    <form action="">
        <ul>
            <li><span>姓名</span>

                <p><input type="text" class="user-name"/></p></li>
            <li><span>性别</span>

                <p class="user-gender" data-gender="1">男</p>
            </li>
            <li><span>出生日期</span>

                <p><input type="text" class="user-birthday" readonly="" name="input_date" placeholder="日期选择"
                          data-lcalendar="1920-01-1,2050-12-31"/></p></li>
            <li><span>成员关系</span>

                <p class="user-relation" data-relation="0">本人</p></li>
            <!--<li><span>身份证号</span>-->

                <!--<p><input type="text" value="" placeholder="必填" class="user-idcard"/></p></li>-->
            <li><span>联系方式</span>

                <p><input type="tel" value="" class="user-tel"/></p></li>
            <li>
                <span>验证码</span> <input type="text" placeholder="请输入验证码" class="checkcode"/>
                <input type="button" value="点击获取" class="codebtn"/>
            </li>
        </ul>
        <!--<input class="save" type="button" value="保存"/>-->
        <div class="save">保存</div>
    </form>
</div>
<div class="choose_gender">
    <div class="male" data-gid="1">男</div>
    <div class="female" data-gid="2">女</div>
</div>
<div class="choose_relation">
    <div data-rid="0">本人</div>
    <div data-rid="1">配偶</div>
    <div data-rid="2">子</div>
    <div data-rid="3">女</div>
    <div data-rid="4">孙、外孙</div>
    <div data-rid="5">父母</div>
    <div data-rid="6">祖父母</div>
    <div data-rid="7">兄弟姐妹</div>
    <div data-rid="8">其他</div>
</div>
</body>
</html>